Active NPI
United Church Homes, Inc
- Skilled Nursing Facility
- Upper Sandusky, OH
National Provider Identifier
1619007879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNITED CHURCH HOMES, INC
- Practice address
- 800 Mission Dr
Upper Sandusky, OH 43351-1067 - Phone
- (740) 382-4885
- Fax
- (740) 382-4884
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rob L Weisbrodt
- Title
- Vice President, It Service
- Phone
- (740) 382-4885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
800 Mission Dr
Upper Sandusky, OH 43351-1067
Mailing address
PO Box 1806
170 E. Center St
Marion, OH 43301-1806
Phone (740) 382-4885
Other names 1
- Fairhaven North Campus
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1619007879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1806",
"address_2": "170 E. CENTER ST",
"city": "MARION",
"state": "OH",
"postal_code": "433011806",
"telephone_number": "740-382-4885",
"fax_number": "740-382-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MISSION DR",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511067",
"telephone_number": "740-382-4885",
"fax_number": "740-382-4884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CHURCH HOMES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "WEISBRODT",
"authorized_official_first_name": "ROB",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT, IT SERVICE",
"authorized_official_telephone_number": "740-382-4885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairhaven North Campus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.